TÌNH TRẠNG NHIỄM HIVAIDS GIỮA NHỮNG NGƯỜI CÓ QUAN HỆ TÌNH DỤC ĐỒNG TÍNH NAM THE SITUATION OF HIVAIDS AMONG MSM

TÌNH TRẠNG NHIỄM HIVAIDS GIỮA NHỮNG NGƯỜI CÓ QUAN HỆ TÌNH DỤC ĐỒNG TÍNH NAM THE SITUATION OF HIVAIDS AMONG MSM Background —HIV prevalence in the world 5%10% of HIV infection was transmitted by MSM in the world. Except SubSaharan Africa(woman),mainly concentrated in the high risk population（IDU、MSM、FSW）the IR of west Africa （around 20%）India（7%~16.5%）Indonesia（8%）Vietnam（15%） —HIV prevalence in China Sexual transmission had become the main routeThe general population is in a low state(0.06%), mainly concentrated in the high risk populationNational sentinel surveillance：6.7%Route of transmission ：sex (91.5%)，homosexual(25%)Data form the first ten months in 2014 MethodsSampling methodSnowball.

The Situation of HIV/AIDS Among

Men Who Have Sex With Men in Kunming

School of Public Health, Kunming Medical University

WANG Yu-miao Septerber,2015

 Main content

Methods Results Conclusions

Background

—HIV prevalence in the world

 5%-10% of HIV infection was transmitted by MSM in the world

 Except Sub-Saharan Africa(woman),mainly concentrated in the

high risk population （ IDU 、 MSM 、 FSW ）

 the IR of west Africa （ around 20% ）

 India （ 7%~16.5% ）

 Indonesia （ 8% ）

 Vietnam （ 15% ）

 Sexual transmission had become the main route

The general population is in a low state(0.06%), mainly concentrated

in the high risk population

National sentinel surveillance ： 6.7%

Route of transmission ： sex (91.5%) ， homosexual(25%)

Data form the first ten months in 2014

Background

—HIV prevalence in China

 North ： 80% （ Beijing, Haerbin, Changchun ）

In 31 provincial capital cities, MSM accounts for 51% of the new report.

Small cities ： 33%

Western frontier provinces ： serious （ Yunnan, Sichuan, Guanxi ）

Yunnan sentinel surveillance infection rate ： 5.6%

Sexual transmission had become the main route ： 89.5%

 the infection among MSM remain at a high level

 the infected student increased （ 81 case, 2014 ）

 male>female （ 1.81 ： 1 ）， above 50% is MSM

Background

—HIV prevalence in Yunnan

Background

—HIV prevalence in Yunnan

Five characters about the HIV situation in 2014 of Yunnan

The new report remained stable , the deaths decreased

slightly

Infection of key population was stable

The proportion of sexual transmission was increased

The infected elderly and students were rising rapidly

Partial area of epidemic rose significantly

Snowball

 Sampling method

The data from 4-8,2014 were obtained from the China Medical University questionnaire

363 valid questionnaire collected

 Time

 Place

Rainbow Sky center of health counseling and service

（ NGO ）， which service for MSM

 Basic details

Average age was 30.93±10.75

Unmarried ： 76.3%

undergraduate or above ： 40.2%

received HIV test ： 56.7%

People would terminate sex behaviors once known partners affected ： 70.5%

Average Partners ： 2.11

 Infection rate

HIV ： 9.1%

Syphilis ： 5.0%

 Last six months （ consistently condom used ）

Condom use ： 37.5% “（ 0” ）， 40.5% ‘‘（ 1‘’ ）

Vaginal sex behaviors ： 17.6% ， among them only 5.0% consistently use

Latest anal sex behaviors ： 78.5%

vaginal sex ： 17.6% ， while condom used ： 8.3%

0.05Univariate Logistic Regression: ：）

received HIV test 、 sexual role 、 the number of sexual partners 、 flock-mate 、 rush 、 ice drugs 、 accepted publicity education about HIV

Multivariate Logistic regression: ：

ice (p<0.05)

the condom use of the latest anal sex 、 ice (p<0.10)

Conclusions

The HIV prevalence was still

high among MSM in Kunming

The new drugs and condom

use are risk factors , which

should be concern

With the increase of students

affected, the student group of

MSM should be pay more

attention to

AIDS requires the joint efforts of all of you and me